Nightmares can be
extremely unpleasant, cause fear and anxiety and affect the quality of
your sleep. This can lead to physical tiredness and mental stress.
However, it's important to understand the cause of your nightmares
before you can begin to treat them. Start with Step 1 below to
understand the source of your nightmares and take steps to to prevent
them from recurring.
Part 1
Understanding Nightmares
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1
Know that it's relatively normal to get nightmares as an adult.
A lot of people associate nightmares with children, believing they are
something you grow out of. However, it is not uncommon for adults and
teens to experience nightmares as well.
- In fact,1 in every 2 adults will experience nightmares now and
again, while 2% to 8% of the adult population suffers from chronic or
recurring nightmares.[1]
- Nightmares are characterized by vividly realistic images, thoughts
and emotions which cause your heart to beat faster and sometimes even
force you to wake from your sleep. Sometimes details of the nightmare
will be remembered and the terrifying or disturbing images can be
difficult to shake.
- As a result, nightmares affect the quality of sleep, leading to
physical exhaustion and mental anxiety and stress. If your sleep is
being interrupted by nightmares, it can cause issues in other areas of
your life and even lead to long-term health problems. Therefore, it is
important to understand the source of the nightmares and take steps to
prevent them.
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2
Understand the difference between nightmares and night terrors. Nightmares and night terrors are two different types of sleep disturbances which are sometimes confused.
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Nightmares tend to occur during REM sleep, so you will usually
experience them in the early hours of the morning. They are experienced
as frightening or disturbing dreams which seem vividly real as they
occur. The content of the dreams will vary from person to person, though
adults often report having nightmares about being chased or falling
from a height. People who have experienced a traumatic event tend to
relive that event in their nightmare.
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Night terrors occur during the deeper stages of sleep and so tend
to occur in the first few hours of going to bed. They are experienced
as an intense feeling of fear, which is not accompanied by dreams or
images. It is often accompanied by movement (thrashing or sitting
upright in bed) which may cause the person to wake up. Usually the
person cannot remember why they were so frightened upon waking.[2]
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3
Understand that nightmares can be the symptom of a larger problem.
Although nightmares in adults often happen spontaneously with no
serious underlying cause, sometimes nightmares will be the result of
psychological conditions such as anxiety, depression or post-traumatic
stress disorder (PTSD).
- This is particularly likely if the sufferer has recently experienced
a traumatic or life-changing event, such as the loss of a loved one,
changing or losing a job, having a baby, undergoing surgery or being
involved in an accident.
- Sometimes nightmares are a symptom of another sleep disorder such as
sleep apnea or restless leg symptom. Other times, a person is just
genetically predisposed towards nightmares, as research has shown that
the likelihood of having nightmares runs in the family.[1]
Part 2
Preventing Nightmares
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1
Treat any underlying disorders. If your nightmares
are the result of an underlying condition such as sleep apnea or
restless leg symptom, receiving treatment for these conditions should
help to reduce nightmares.
- If your nightmares are related to anxiety, depression or PTSD,
certain forms of therapy or medications might help to alleviate these
conditions and lessen nightmares.
- In particular, a drug known as Prazosin is often prescribed to help
patients with PTSD, anxiety and panic disorders, and can alleviate
nightmares.
- It is important that you speak to your doctor to figure out a treatment option that is best for you.
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2
Avoid eating before bed. Eating before bed can
trigger nightmares, as food speeds up your metabolism and sends signals
to your brain to become more active. Therefore, it's a good idea to cut
out bedtime snacks, particularly those that are high in sugar. [3]
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3
Reduce stress. Stress can contribute to nightmares, so take some time relax throughout the day and aim to go to bed with a calm, clear mind.
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Yoga and meditation
are both good activities for relieving stress and clearing the mind.
Consider taking a class, or simply practice for a few minutes each day
in the comfort of your own home.
- Other activities such as reading, knitting, running or just spending more time with your family and loved can also help to relieve stress.
- Taking a hot bath before bed can help you to unwind after the stresses of the day and leave you feeling calmer and more relaxed .
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4
Talk to your doctor about any medications you're taking.
Certain medications can increase the likelihood of nightmares, so speak
to your doctor if you feel this might be an issue for you.
- Anti-depressants and certain blood pressure medications are often
responsible for causing nightmares, so speak to your doctor about
switching to a different drug.
- Sometimes a change in dosage or coming off a particular drug can
cause nightmares, in which case the bad dreams should subside once your
body adjusts.[3]
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5
Improve your sleep. Although nightmares may cause
sleep deprivation, sleep deprivation can also cause nightmares.
Therefore, taking steps to improve the quality of your sleep can help to
prevent nightmares.
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Make your bedroom a relaxing environment. Keep your bedroom neat
and tidy, make sure it's dark enough and avoid temperatures that are too
hot or cold. Make sure your bed is comfortable. Use a white noise
machine to block out any undesirable sounds. Reserve your bedroom for
sleeping - working in your bedroom may cause you to associate it with
stress.
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Get more physical exercise. Tiring yourself out with physical
exercise is a great way to improve your sleep. Find an activity that you
enjoy, whether it's running, strength training, dancing, rowing or rock
climbing and work out 3 to 5 times a week. Schedule it for the morning
if you can. Just don't exercise right before bed - it will leave you too
amped up for sleep.
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Cut back on your caffeine, alcohol and nicotine intake. These
substances can interfere with your sleep, so it's a good idea to cut
them out or at least cut down. Also try to avoid drinking, smoking or
consuming caffeine less than 3 to 4 hours before bedtime.
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6
Try imagery rehearsal treatment. Imagery rehearsal
treatment is a type of cognitive therapy which has been found very
effective in reducing nightmares in PTSD and insomnia patients.
[1]
- With imagery rehearsal treatment, the patient is encouraged to
imagine an alternate ending to their nightmares - one with a more
pleasant or satisfying outcome - while they are still awake.
- For example, if you're dreaming you're being chased, you could
imagine the monster that's chasing you, when it catches you, saying
"tag, you're it" and it's really a game of tag.
- If you're dreaming that you're falling, you could imagine that a parachute opens up and saves you.
- Sometimes this is done orally, other times the patient is asked to
write down, draw or paint the alternate ending to their nightmares.[3]
Part 3
Encouraging Pleasant Dreams
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1
Find a happy place.
Envision a happy, peaceful place - like a tropical beach or a secluded
mountain top. You can make one up, or base it on somewhere real. No
matter what or where it is, just make sure it's calm and relaxing. In addition to just envisioning the scenery, try to imagine the sounds, the smells and the overall atmosphere.
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2
Think happy thoughts.
As you drift off to sleep, try to think happy thoughts. They could be
anything you like - try imagining yourself as a superhero saving the
world, as a famous actor or actress or heading off on your dream
holiday. It can also help to focus on your goals and envision yourself
achieving them - getting that dream job, hitting your ideal weight or
finding your true love.
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3
Talk to someone about your dreams. Find someone who
you trust, and explain your dreams. Also explain to them why they scare
you. Just letting your feelings out can make things better. You can also
keep track of your dreams in a dream journal, but be aware that
sometimes it's more effective to talk to an actual person who you know
is listening.
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4
Attempt to manipulate your nightmare.
See if you can manipulate your nightmare by making certain things
happen and altering the outcome to make it less frightening or
upsetting. This ability comes to some people faster than others, so
don't be frustrated if you can't manage it at first.
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5
Relax. Nightmares can also be caused by stress,
such as wondering if you will get a job or not. Let go of your worries,
and begin having happy dreams again. You can relax by either
meditating, or having a nice day at the beach. Just make sure it's a
quiet area where you can relax and chill out.
Source : wikihow.com